Eczema Facts (cont.)

Gary W. Cole, MD, FAAD

Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

What are eczema symptoms and signs?

Almost all patients with eczema complain
of itching. Since the appearance of most types of eczema is similar, the
distribution of the eruption can be of great help in distinguishing one type
from another. For example, stasis dermatitis occurs most often on the lower leg
while atopic dermatitis occurs in the front of the elbow and behind the knee.

How is eczema diagnosed?

An accurate diagnosis requires an examination of the entire skin surface and a careful history. It is important to rule out curable conditions caused by infectious organisms. Occasionally, a sample of skin (biopsy) may be sent for examination in a laboratory.

What is the treatment for eczema?

The treatment of acute eczema requires
repeated cycles of application of dilute aqueous solutions followed by
evaporation. This is most often conveniently performed by placing the affected
body part in front of a fan after the compress. Once the acute weeping has
diminished, then topical steroids (such as triamcinolone cream) application can
be an effective treatment. In extensive disease, systemic steroids may need to
be utilized either orally or by an injection (shot).

What are home remedies for eczema?

Mild eczema may respond to compresses composed of tepid water followed by room air evaporation. Chronic eczema can be improved by applying water followed by an emollient (moisturizing cream or lotion).